Individual provider Active NPI

Andrea Rebecca Yapejian, FNP-C

  • Family Nurse Practitioner
  • Providence, RI
National Provider Identifier
1922439223
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5012167 Issued in NC
Practice address
164 Summit Ave
Providence, RI 02906-2853
Phone
(401) 793-4102
Fax
(401) 793-4049
NPI assigned
Dec 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN03236 RI
Family Nurse Practitioner 363LF0000X APRN03236 RI
Nurse Practitioner 363L00000X RN2356896 MA
Nurse Practitioner 363L00000X 086153-23 NH
Family Nurse Practitioner 363LF0000X 5012167 NC Primary

Addresses

Primary practice location

164 Summit Ave
Providence, RI 02906-2853

Mailing address

347 Norwood Dr
Clayton, NC 27527-4208
Phone (843) 224-4839

Other practice location 1

7011 Fayetteville Rd Ste 107
Durham, NC 27713-7745
Phone (984) 250-6564

Other practice location 2

593 Eddy St
Providence, RI 02903-4923
Phone (855) 332-8474

Other names 1

  • Andrea Rebecca Wiggins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2356896MAMDNurse Practitioner
5012167NCMDNurse Practitioner
086153-23NHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. CurrentSince Oct 5, 2022 Accepting new patients
Lifespan Physician Group, Inc. Nurse Practitioner CurrentSince Oct 5, 2022 Accepting new patients
The Miriam Hospital CurrentSince Oct 5, 2022 Accepting new patients
The Miriam Hospital Current Accepting new patients
Rhode Island Hospital Nurse Practitioner CurrentSince Oct 5, 2022 Accepting new patients
Rhode Island Hospital CurrentSince Oct 5, 2022 Accepting new patients
Ivy Medical Group PLLC CurrentSince Dec 11, 2024 Accepting new patients
The Miriam Hospital Current Accepting new patients
The Miriam Hospital CurrentSince Oct 5, 2022 Accepting new patients

Locations

885 3rd Ave
Fl 28
New York, NY 10022
Phone (929) 650-3990

100 Chambers St
Cumberland, RI 02864
Phone (401) 724-7500

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

208 Collyer St
Ste 100
Providence, RI 02904
Phone (401) 793-7191

2 Dudley St
Providence, RI 02905
Phone (401) 444-2299

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

593 Eddy St
Bldg 1ST
Providence, RI 02903

593 Eddy St
Providence, RI 02903

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1922439223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 NORWOOD DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275274208",
            "telephone_number": "843-224-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 SUMMIT AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062853",
            "telephone_number": "401-793-4102",
            "fax_number": "401-793-4049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7011 Fayetteville Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277137745",
            "country_code": "US",
            "telephone_number": "984-250-6564",
            "fax_number": "919-287-2551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "593 Eddy St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034923",
            "country_code": "US",
            "telephone_number": "855-332-8474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAPEJIAN",
        "first_name": "ANDREA",
        "middle_name": "REBECCA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-12",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN03236",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN03236",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2356896",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "086153-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "WIGGINS",
            "middle_name": "REBECCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.